HomeMy WebLinkAbout2001-P04434 - mechanical PERMIT
C�T��Y �F ORONO Permit �vumber:
2750 Kelley Parkway - PO Box 66 P04434
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: ioisi2ool
SITE ADDRESS: 2660 Phesant Rd
Excelsior,MN 55331
PID: 21-117-23-23-0022
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 4,000.00
State Surcharge Fee: $ 2.00
Misc. Fee: $ 1.50
TOTAL FEE: $ 53.50
APPLICANT: Owens Companies,Inc. OWNER: Gregory&Gayle Hayhurst
930 E. 80th Street 2660 Phesant Rd
Bloomington, MN 55420 __Excelsior,MN-55331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANTPERMITEESIGNATURE I SUEDBYSIGNATURE
Cooies: 1-File(SiQnitures Reauired). 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
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CI�Y OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66(2750 Kelley Parkway)
Crystal Bay,MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOU RECENE A PERMIT.WORKMUST NOT BEGIN UNTIL THE PERNIIT CARD IS POSTED ON
Tf�JOB SITE.
3. Mechanical Desi n�s-Complete calculations,details and specifications are required for each heating,
ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain
calculations,design temperatures,equipment ratings and identification as to type,manufacturer and model.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
shall also be provided.
4. When any new construction or remodeling is involved,a separate building permit must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements.
6. All work must be inspected(rough-in and final). Call 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WII.L NOT BE PROCESSED. If you have questions,ca11249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair ❑� Replace
�✓ Residential � Commercial
JOB SITE: 2660 Pheasant rd Orono MN 55391 Zip• 55391
Owner's Name: Hayhurst Telephone Number: 6125909953
Mailing Address: same City Orono Zip: 55391
Contractor's Name MMCA: Owens Companies • Telephone Number: 9528545800
Mailing Address:930 East Street Clty; Bloomington Zip•55420
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �
Make: Slant-fin
Model: SX-150
Fuel: Nat
Flue Size: 6
Input BTUs: 150,000
Output BTUs: 130,000
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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FII7EPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust ducted recirculatin�_cfin
No. Bath Exhaust (must be ducted outside) cfin
No. Other Fans: Locations cfin
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation ❑Removal
❑ Fuel oil: u gallons ❑ underground � inside ❑outside
❑ LP Gas: _ gallons
❑Other Gas opening
PERMIT FEE CALCULATION
1. 1.25%of Contract Price* or Minimum Fee($35.00) .
4000. x.0125 $ Gi C � �'�
(contract price)
2. State Surchar�e. **Add the State Building Code Division
Surcharge to each permit. 4000. x .0005 $ � � L �
or$.50,whichever is greater (contract price)
3. Postage and Handling (Only mail-in applications) $ 1.50 ___ _
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ S,� -���
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer
for the work done. If any material,equipment,labor,or installation are furnished by the owner,tenant or
any other party the reasonable market value of such items must be added to the estimated cost or contract
price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,the City may
request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.
For valuations over$1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of the Mechanical Permit,agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code,and certifies that all statements made on this application are complete,true
and correct.
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Applicant's Signature: � Date: 10/01/2001
Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION T C�` SCHEDULED —�Q-��� •� a
PERMIT NO. � /7 3 COMPLETED � L/'ti' 3 ���>
ADDRESS U , •
OWNER CONTR. ��L��n-� C�tt,r.�a,r�
TELEPHONE NO. 9��— �D 3 --57D .3
� DESCRIPTION �.�.� ����
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING CHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WAIL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PFiOGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 �CORRECT VI�RK,CALL FOR REINSPECTION TEMPORARY
V BEFOf9ECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN O CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlCon or on site:
Inspector. � �2L- ' �- �
Whfte Copylinspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CAL�EO IN Iti-�
INSPECTION NOTI (' SCHEDULED '
PERMIT N0. �� 't� COMPLETED z- '
ADDRESS ���PQ ���-L� 1'�-�'
OWNER �r,����--�l,�.u�,�.+� CONTR. �C.c.�P.l,.�l C��'i .
TELEPHONE NO. �1� � � �� C` �`7 .� �
� DESCRIPTION_ ���--�..�i� -K r„-�-�� _ �-�- ��{�-�
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�J/GRADING/FILLING
Q 02 FR,4MING `3'1 CHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 IREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FIN 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: � ES_NO
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W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
� RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector✓��.-t�u'"�' � �-� .j
White Copyllnspector's File Canary CopylSite Notice